cd /home/daytona/workspace/attachments/bea83985-d6bc-491c-a6da-78ef13739160 && python3 -c " import pdfplumber with pdfplumber.open('2.pdf') as pdf: for i, page in enumerate(pdf.pages): print(f'=== PAGE {i+1} ===') print(page.extract_text()) "

cd /home/daytona/workspace/attachments/bea83985-d6bc-491c-a6da-78ef13739160 && pandoc --track-changes=all "Case activity.docx" -o /tmp/case_activity.md && cat /tmp/case_activity.md

cd /home/daytona/workspace/attachments/bea83985-d6bc-491c-a6da-78ef13739160 && python3 -c " from pypdf import PdfReader reader = PdfReader('2.pdf') for i, page in enumerate(reader.pages): print(f'=== PAGE {i+1} ===') print(page.extract_text()) "

Medical pathophysiology flowchart diagram for acute cholecystitis / cholelithiasis. Clean white background with labeled boxes and arrows showing: Predisposing/Risk Factors (Female sex, Age 38, Diabetes mellitus, Hypertension, Fatty diet, Filipino ethnicity) leading to Gallstone Formation (cholesterol supersaturation, biliary sludge, nucleation) leading to Cystic Duct Obstruction. From obstruction: arrow to Biliary Stasis and Gallbladder Distension leading to Intermittent Abdominal Bloatedness (6 months PTA). Arrow from distension to Gallbladder Wall Inflammation / Edema leading to Colicky Epigastric Pain (4 months PTA, 5/10 pain scale, post-prandial). From inflammation: Gallbladder Wall Thickening (US finding) and Murphy's Sign positive and Distended Abdomen. Secondary bacterial invasion leads to Acute Cholecystitis. Show Metformin (targets insulin resistance) and Metoprolol (targets hypertension) as modifying factors. Include Ultrasound findings box: cholelithiasis + wall thickening. Professional medical diagram style with arrows and color-coded boxes.